Desert Island Discs

David Nott on working in war zones

Oct 14, 2025
David Nott shares gripping tales of his first experiences in warzones, detailing the harrowing political landscape and his emotional reactions. He reflects on the tragic reality of hospitals under attack and the challenges of operating with limited resources. One shocking moment involves performing surgery during a rocket attack, navigating darkness and fear. Nott's unwavering commitment shines through as he bravely stays to help a critically injured child despite the immediate threat to his safety.
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ANECDOTE

First Shock In Sarajevo

  • David Nott described his first shock arriving in Sarajevo and working in a heavily damaged 'Swiss Cheese Hospital'.
  • He recounted being left alone mid-operation when staff evacuated during an attack, forcing him to confront self-preservation versus duty.
INSIGHT

When Law Fails, Personal Safety Matters

  • He realised international humanitarian law should protect medical staff and facilities but often did not in practice.
  • That led him to understand he sometimes had to prioritise his own safety over patients to survive and continue helping others.
INSIGHT

Resource Limits Shape Outcomes

  • Early on he noted limited knowledge of trauma care contributed to deaths in cold operating theatres.
  • Environmental and resource constraints in war zones can turn otherwise survivable injuries fatal.
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